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Contact Information

ANNETTE M COXON, KCSA
2309 BROADMEADE RD
LOUISVILLE, KY40205-2201
 Phone: 502-500-9395
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ANNETTE M COXON · (Female)

NPI # 1538223888
Status Active
Credentials KCSA
Entity Individual
Enumeration date 12/21/2006
Last updated 11/03/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # SA046
  • KY Other 000000357381 ANTHEM
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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